A nurse on a pediatric unit is caring for four children.
The nurse should use droplet precautions for which of the following children?
A school-age child who has viral conjunctivitis.
A preschool-age child who has pediculosis capitis.
A toddler who has seasonal influenza.
An adolescent who has hepatitis A
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale
Viral conjunctivitis does not require droplet precautions as it is primarily spread through direct contact with eye secretions.
Choice B rationale
Pediculosis capitis (head lice) does not require droplet precautions as it is spread through direct contact with infested hair or personal items.
Choice C rationale
Seasonal influenza requires droplet precautions as it is spread through respiratory droplets when the infected person coughs, sneezes, or talks.
Choice D rationale
Hepatitis A does not require droplet precautions as it is primarily spread through the fecal-oral route. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
Amphotericin B is an antifungal medication and is not used to treat impetigo, which is a bacterial infection.
Choice B rationale
Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the highly contagious bacterial infection.
Choice C rationale
Lidocaine ointment is used for pain relief and is not a treatment for impetigo.
Choice D rationale
Impetigo is not a reportable disease to the state health department.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}
Explanation
- Advise child’s guardian about the use of sunscreen: This intervention is contraindicated as it is not relevant to the child’s current condition of a UTI.
- Educate the child about proper perineal hygiene: This intervention is anticipated as proper perineal hygiene is crucial in preventing recurrent UTIs.
- Administer salicylic acid for pain and fever: This intervention is contraindicated as salicylic acid is not typically used for pain and fever management in children with UTIs. Acetaminophen or ibuprofen is more appropriate.
- Ensure the child receives a maximum of 1,200 mL/day of fluid: This intervention is contraindicated as adequate fluid intake is essential for flushing out bacteria from the urinary tract. Restricting fluids is not appropriate.
- Administer sulfamethoxazole and trimethoprim: This intervention is anticipated as sulfamethoxazole and trimethoprim are commonly prescribed antibiotics for treating UTIs in children.
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